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Organization
KRIS FITZGERALD, LMHC, PLLC
Active
Organization
KRIS FITZGERALD, LMHC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN T FITZGERALD LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(863) 241-2785
Entity
Organization
Contact information
Practice address
116 BROOKSHIRE DR, LAKE WALES, FL 33898-7601
(863) 241-2785
Mailing address
PO BOX 3657, LAKE WALES, FL 33859-3657
(863) 241-2785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 13651
FL
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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